Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | SC004348-L | PA |
NPI | 1023095494 |
---|---|
Provider Name | Dr. Robert Kenneth Cohen |
First Address | Paoli, PA 19301-1762 |
Second Address | Paoli, PA 19301-1762 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/12/2005 |
Last Update Date | 18/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01797431 | (05) | PA |
U76816 | (02) | PA |